COMMUNITY ACQUIRED PNEUMONIA GUIDELINES (Part of 3) 1 - MPR

[Pages:3]COMMUNITY ACQUIRED PNEUMONIA GUIDELINES (Part 1 of 3)

SITE-OF-CARE DECISIONS

?Determine if patient should be treated inpatient or outpatient ?Outpatient care: able to take oral medications and have adequate outpatient care ?Inpatient care: based on severity-of-illness scores (eg, CURB-65 criteria [confusion, uremia, respiratory rate, low blood

pressure, 65 years or older]) or prognostic models (eg, Pneumonia Severity Index [PSI]) and professional judgment

?Patients with CURB-65 score 2 require hospitalization or aggressive outpatient care

?If inpatient treatment required, determine if patient should be admitted to ICU or general ward ?ICU admission required: septic shock necessitating vasopressors, or acute respiratory failure requiring intubation and

mechanical ventilation ?ICU admission recommended: 1 major criteria or 3 minor criteria are present

SEVERE CAP CRITERIA

Minor Criteria:

?Hypothermia ( ................
................

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